Dereck Ta Shante Wright, AGACNP-BC in Greenville, TX

Dereck Ta Shante Wright, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Greenville, Texas. His current practice location is 4215 Joe Ramsey Blvd E, Greenville, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 408-5834.

Dereck Ta Shante Wright is licensed to practice in Texas (license number 1018209) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144810144.

Contact Information

	Dereck Ta Shante Wright, AGACNP-BC
	4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852
	(903) 408-5834
	(903) 408-5693

Map and Direction

Provider's Profile

Full Name	Dereck Ta Shante Wright
Gender	Male
Speciality	Nurse Practitioner
Location	4215 Joe Ramsey Blvd E, Greenville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144810144
Provider Enumeration Date: 01/22/2021
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9234544164
Enrollment ID: I20210226000691

Medical Identifiers

Medical identifiers for Dereck Ta Shante Wright such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144810144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1018209 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dereck Ta Shante Wright allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	Hunt Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598750721 PECOS PAC ID: 6406768936 Enrollment ID: O20040424000352

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364

Entity Name	Questcare Intensivists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164758074 PECOS PAC ID: 4688715691 Enrollment ID: O20100112000517

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dereck Ta Shante Wright is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dereck Ta Shante Wright, AGACNP-BC 501 Air Park Ave, Greenville, TX 75402-3000 Ph: (903) 408-5834	Dereck Ta Shante Wright, AGACNP-BC 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 Ph: (903) 408-5834

Reviews and Comments

Nurse Practitioner Nurses in Greenville, TX

Sunny Makolo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2405 Stonewall St, Greenville, TX 75401 Phone: 903-454-3300 Fax: 903-454-3307
Patrick D Hill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 580-263-0091
Mr. William Thomas Crowe Iv, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 Wesley St, Suite B, Greenville, TX 75401 Phone: 903-454-7555 Fax: 903-450-4420
Jennifer Carter, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4221 Ridgecrest, Suite 103, Greenville, TX 75402 Phone: 903-454-2130 Fax: 903-454-5487
Mrs. Sarah Rhea Money, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4400 I 30 W Ste 100, Greenville, TX 75402 Phone: 469-800-3500
Craystal Gail Salazar, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4311 Wesley St, Greenville, TX 75401 Phone: 903-455-5958 Fax: 903-455-1604
Jennifer C Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4501 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 Phone: 903-408-5800 Fax: 903-455-8232

Dereck Ta Shante Wright, AGACNP-BC - Medicare Nurse Practitioner in Greenville, TX